Acne

This is a 17 year old male presenting with such lesions over face as shown, I am suspecting to be a case of Acne Vulgaris Management How do u treat your acne patients? What do u follow to treat such patients? Any guru mantra if, kindly share 🙏 Meanwhile, I have started him on following - Isotane 20 OD, Wysolone 10 BD, Doxycycline 100mg OD for 10 days, Oint Retino A 0.025% at bedtime after washing face,

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Dear dr Ajeet Pal Singh So far dx of acnes vulgaris is concerned right But why you have chosen to give wysolone as steroids has no role rather flareup the lesions Now it is well established that it is induced by bacterial infection and aggravated by dry skin or oily skin Closure of sebum in pores of skin leads to comedones Retinoic acids like adaphelene or benzoyl peroxide are preferred along with antibiotics like clindamycin locally as well as orally or azithromycin is given Orally isotrentoin is given You have given all most the same except steroids Beside diet exercises and pranayams do help Diet should be devoid of fry junk or oily spicy food Even better to avoid nonvage and addictions Counseling to induce confidence

thanks sir for valuable opinion
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Your TT is ideal for acne vulgaris You may start azithycin 5oomg for 5dyd Locally benzyl peroxidase face wash Adalp clandamycin bds Continue retino a. HS And also isortin 20mg Reassuring the pt that it will take long time in cure Avoid peeping the lesions

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Typical ACNE VULGARIS Doxycycline 100mg bd Ointment Clindamycin locally Foristal1bd Evion400 od Pernox gel in night

Thanks Dr. Pushker Bhomia ,Dr.Dinesh Gupta, Dr. Shivraj Agrawal, Dr. Ramya Waltair, Dr. Ansuiya Mukherjee
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? ACNE VULGARIS.. NEED'S.. YOUR LINE OF T/T IS CORRECT.. BUT.. OMIT.. WYSOLONE.. ADD..ZYCLIN NANO .. OR .. CLINDAMYCIN ADAPALENE..

Tnx Dr Shivraj Agarwal sir
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Sir u have already mentioned the treatment nicely. Counciling of patient regarding hormonal changes at this age group is important.

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Stop steriod it will aggrevate acne Azee500 a/d 12 week Isotretonion 20 mg 3 1/2 month Oint clindamycin bd Face wash 5 times

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Steroid lead to acneform eruption So stop steroid. Azee 500 od for 3 day follow by droxy 100 mg od Isopearl 20mg od Benzoil 2.5 + adaplane oint Clinda + banzol soap In homoeopathy. Sulph 1m stat Kali brom 30 tds Silicia 30 tds

Acne Acnicin lotion locally Tab Roxid 150 mg bd Stop steroids

YOu can start with topical clindamycin and Benzoyl peroxide. Keep the big guns (doxy and isotretinoin for later). Please stop Wysolone as it has no role in acne and will wreck a havoc on this poor chaps bones (osteoporosis), metabolism (Diabetes, weight gain, metabolic syndrome) and growth.

SUGGESTIVE. OF ACNE VULGARIS NICELY DISCUSSED. IN. DETAILS

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